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An Integrated Approach to a Teaching File Linked to PACS

机译：链接到PACS的教学文件的集成方法

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To meet the educational needs of a medical imaging department with a strong teaching commitment, a teaching file that uses digital data supplied by the institutional picture archiving and communications system (PACS) was required. This teaching file had to be easily used by the end users, have a simple submission process, be able to support multiple users, be searchable on all data fields, and implementing the teaching file must not incur any additional software or hardware costs. The teaching file developed to address this problem takes advantage of the database structure and capabilities of several components included in the commercial PACS installed at the hospital. MS Access is used to seamlessly integrate with the digital imaging and communication in medicine (DICOM) database of a normal work station that is part of the PACS. This integration allows relevant patient and study demographics to be copied from images of interest and then to be stored in a separate database as the back-end of the digital teaching file. When images for a particular teaching file case need to be reviewed, they are automatically retrieved and displayed from the main PACS database using an open application programming interface (API) connection defined on the PACS web server. Utilizing this open API connection means the teaching file contains only the relevant demographic information of each teaching file case; no image data is stored locally. The open API connection allows access to imaging data usually not encountered in a teaching file, allowing more comprehensive imaging case files to be developed by the radiologist. Other advantages of this teaching file design are that it does not duplicate image data, it is small allowing simple ongoing backup, and it can be opened with multiple users accessing the database without compromising data access or integrity.
机译：为了满足具有强大教学承诺的医学影像部门的教育需求，需要使用机构图片存档和通信系统（PACS）提供的数字数据的教学文件。该教学文件必须易于最终用户使用，具有简单的提交过程，能够支持多个用户，可在所有数据字段上进行搜索，并且实施教学文件不得招致任何额外的软件或硬件成本。为解决这个问题而开发的教学文件利用了数据库结构和医院中安装的商用PACS中包含的几个组件的功能。 MS Access用于与作为PACS一部分的常规工作站的医学数字成像和医学通信（DICOM）数据库无缝集成。通过这种集成，可以从感兴趣的图像中复制相关的患者和研究人口统计学信息，然后将其存储在单独的数据库中，作为数字教学文件的后端。当需要查看特定教学文件案例的图像时，将使用PACS Web服务器上定义的开放应用程序编程接口（API）连接，从主PACS数据库中自动检索并显示它们。利用这种开放的API连接，意味着教学文件仅包含每个教学文件案例的相关人口统计信息；没有图像数据存储在本地。开放的API连接允许访问教学文件中通常不会遇到的成像数据，从而使放射科医生可以开发出更全面的成像案例文件。此教学文件设计的其他优点是它不复制图像数据，它很小，允许进行简单的连续备份，并且可以在不损害数据访问或完整性的情况下，由多个用户访问数据库来打开它。

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